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Public Health Law Strategies for Suicide Prevention Using the Socioecological Model.
Catherine Cerulli1, Amy Winterfeld1, Monica Younger1
1Catherine Cerulli, J.D., Ph.D., is a Psychiatry Professor at the University of Rochester. She is the Director of the Laboratory of Interpersonal Violence and Victimization and the Susan B. Anthony Center. She received her Juris Doctorate from SUNY at Buffalo School of Law, Buffalo, NY, and her PhD in Criminal Justice from SUNY at Albany, Albany, NY. Dr. Cerulli's work focuses on the intersection of law and mental health as they relate to suicide, homicide and domestic violence prevention. Amy Winterfeld, J.D., currently volunteers as the elected Senior Public Health Policy Director for the Colorado Public Health Association. She earned her BA with honors in history from Brown University and her law degree from the University of Colorado at Boulder. In 2018, Ms. Winterfeld led advocacy efforts that resulted in Tri-County Health Department, a local public health agency in the metropolitan Denver area, receiving an inaugural 2018 National Advocate of the Year Award from the National Association of City and County Health Officials. Monica Younger, M.S., is the Behavioral Health Coordinator for Tri-County Health Department. She received her Master of Science in Technical Communication from the University of Colorado. As the coordinator she helps administer the State Innovation Model Local Public Health Agency grant that was awarded to the Metro Public Health Behavioral Health Collaboration, the collaborating public health agencies from Denver, Boulder, Broomfield, Jefferson, and the Tri-County jurisdiction of Adams, Arapahoe, and Douglas counties. With over 18 years of experience in healthcare education, community mental health, and public health, she has also managed IT, quality, and accreditation efforts in these areas. Jill Krueger, J.D., is Region Director of the Northern Region of the Network for Public Health Law. She received her Juris Doctorate from the University of Iowa College of Law in Iowa City, Iowa. Ms. Krueger works in the areas of mental health and well-being, rural health equity, and climate resilience.
Integrating legal strategies into suicide prevention efforts is crucial for public health. This paper examines laws impacting suicide prevention across individual, relational, community, and societal levels, emphasizing implementation.
Area of Science:
- Public Health
- Legal Studies
- Mental Health Policy
Background:
- Suicide is a significant public health issue requiring integrated, cross-sectoral approaches.
- The legal system's role in suicide prevention is increasingly recognized.
- Previous research has explored public health approaches to suicide prevention using socio-ecological models.
Purpose of the Study:
- To examine existing laws that influence suicide prevention strategies.
- To analyze the impact of legislation on suicide prevention at multiple levels: individual, relational, community, and societal.
- To highlight the importance of law implementation in conjunction with policy.
Main Methods:
- Review of legislation and legal interventions across different socio-ecological levels.
- Analysis of how laws address screening, conflict resolution, frontline provider training, and public awareness.
- Examination of the interplay between legal frameworks and suicide prevention efforts.
Main Results:
- Laws can enhance individual-level screening and relational interventions like protection orders.
- Community-level legislation can support suicide prevention training for medical and educational professionals.
- Societal-level efforts, including public awareness campaigns, are vital for reducing mental health stigma and improving care access.
Conclusions:
- Legal frameworks offer valuable tools for suicide prevention across various societal strata.
- Effective implementation of these laws is paramount to achieving desired public health outcomes.
- A comprehensive, multi-level legal strategy is essential for reducing suicide rates.
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